Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.88 / $663.88 / $663.88	Facility		$663.88	$663.88	$663.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $509.24 / $663.88 / $663.88	Professional		$509.24	$663.88	$663.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,759.50 / $3,505.60 / $6,384.86	Facility		$1,759.50	$3,505.60	$6,384.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.36 / $1,162.49 / $1,569.36	Professional		$1,104.36	$1,162.49	$1,569.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $671.48 / $687.30 / $755.62	Facility		$671.48	$687.30	$755.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $929.99 / $929.99 / $929.99	Professional		$929.99	$929.99	$929.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.98 / $751.98 / $751.98	Facility		$751.98	$751.98	$751.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $548.95 / $936.43 / $1,361.23	Professional		$548.95	$936.43	$1,361.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $663.88 / $840.06 / $840.06	Facility		$663.88	$840.06	$840.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $657.75 / $840.06 / $1,220.60	Professional		$657.75	$840.06	$1,220.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $705.39 / $860.24 / $989.27	Professional		$705.39	$860.24	$989.27
United Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $479.78 / $633.41	Facility		$8.00	$479.78	$633.41
United Facility/Professional Professional Modifier Low / Median / High Price $403.42 / $536.21 / $787.57	Professional		$403.42	$536.21	$787.57